糖心原创

These forms are for ALL Allied Health Programs.

Safety & Certification

Safety is now done through . Print your Rapid Regulatory Clinical I & Rapid Regulatory Clinical II Certificates of Completion and upload them to your Immunization and Document Tracker profile in .

Physical Forms

• Medical Document Manager Requirements (PDF)
• Student COVID-19 Attestation (PDF)
• Skills, Simulation & Computer Lab Agreement (PDF)
• Skills, Simulation & Computer Expectations (PDF)
• Handbook Policy Agreement (PDF)
• Measles, Mumps & Rubella (MMR) Immunization (PDF)
• Confidentiality Agreement (PDF)
• Varicella (Chicken Pox) Immunization (PDF)
• Physical Exam Form (PDF)
• Seasonal Influenza Immunization (PDF)
• Tetanus, Diphtheria, Pertussis (Tdap) Immunization (PDF)
• Hepatitis B Vaccination Series and Titer (PDF)
• Hepatitis B Vaccination Declination (PDF)
• Tuberculosis (TB) Examination (PDF)
• Tuberculosis (TB) Questionnaire (PDF)
• Medical Release Form (PDF)

**If you have a TB Chest X-Ray you will need to fill out a TB Questionnaire each year.

Where to get Immunizations

Looking for somewhere to get your immunizations? Be sure to follow the Physical Exam/Immunization Guidelines above carefully!

• Your primary physician
• 糖心原创 Student Health Center
  Physical, Influenza, TB Exams  (FREE for BC Students)
  禄 More Information
• Irene Sanchez, M.D. Occupational Medicine
  Physical, Mask Fit, MMR, TB, Influenza, Hep B
• Kern County Public Health
  (661) 321-6000
  Hours: Monday-Friday, 8 am - 5 pm
  1800 Mt. Vernon Ave.
  Bakersfield, CA 93306

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